HomeMy WebLinkAbout042-610-027WEBB BROTHERS
746 Brandonbury Ln,lot.4 , Silvertree I
Contr: Webb Homes t��
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042-61-0-027 1
'JOYNER, GREG • 00-1318 1
746 BRANDONBURY LA
CONTR: OWNER CHICO
C
ENCLOSE PATIO;f��y
042-610-027 ; +a 4. 03-01241
HEYNNEMAN, RICHARD
746 BRANDONBURY LN., CHICO
-RE-ROOF
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v, 042-610-027: "'03- 0-'12'4
HEYNNEMAN,'RICHARD
746 BRANDONBURY LN., CHICO ,
RE-ROOF
+
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- X54103 ENNo
(Rev. 12/96) APPLICATION AND PERMIT G V (�
ASSESSOR PARCEL NUMBER qa0
ZAGS k
BUILDING PERMIT
OWNER ,1 (_
�i�;•' t+t.�
FT, OCC. BUILDING VALUATION
/SAO.
_QIR RO 00
r/1� (/ry'TngCHio�E�.
OWNERS MAILING ADD SS ►�'� �(_,A,/ `C.K .A,=J • C N/�+�/
CONTRACTOR'S NAME
TELEPHONE
'50i C/ �5 �\
l.��,J
URO
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ C;LA � (�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 514 o
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS ;
Energy Plan Checking Fee $
u
PERMIT FEE $ "14. qv
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap7.00
USEOFSTRUCT•URE
SF X Duplex ❑ Mobilehome ❑ Other
SPECIFY I
Solar or heat um water heater 23.00
Water piping 15.00
Each $S water heater Or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: U — � ^
(rL) Ska- e.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
U'. n
Cup tl lJ[
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 2ooA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATIONEx.
I herebyA�affirm under penalty of perjury that I am exempt from the Contractors License
Law fo(the following reason:
191, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions 'Code for this
reason
Main Service 200A To 1000A 46.00
NEW CONST. DWELING UP. so
OR ADDNS. ( a ACC. BLDS. 3.50FT.
Ro�IpT' MULTI.OUTLET @7,50
OUTLET COWELER APPARATUS
a IR.
zo @ 1.1
Occup. OUTLET OR FIXTURES BAL @ .50
FlXED APPUVS. OR 5.00
Ex. Occup. our. RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
R e above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
❑❑❑❑❑❑//////I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith comply with those provisions.
//
X ,brig}��fi�.,/1 Date �"/r-
Signature of Applicant - ®O er ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
pcc
fC • 3
CONST TYPE
VA, TOTAL FEE $ '1q.00
HA2.
D.MI P
I FLOOD
I CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B J D n�/5� Date
Y [ ,! L
PERMIT EXPIRES ON
ate
ReceiptNo. 3 (n ly Sa a AOK � /•yU
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��
Al
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ISION
7 County Center Drive 0roville, California 95965 • Telephone( 30) 538-P4105 ![�j�j�,N0,0(
(Rev.12/96) APPLICATION AND PERMIT �J GG -
ASSESSORPARCELNU a _(01 - f 0 �.
�Ul
=ON GS 2
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING AirSS C"
CONTRACTORS NAME
TELEPHONE
( r OO .66
�/
CONTRACTORS MAKING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 1 (9'�
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
''1120.00
Permit Fee $ ,� 1 V
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDINGADDRESS •- J / r
LI 1{
Energy Plan Checking Fee $
$
PERMIT FEE $ ,
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF,X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ � O SJ?— n�,", y� n� Q__ g
1/C(�.ow-e /CX x��C1L �I- SLP
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
O l/�
Oa -0 p/V� L�
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSINGLE
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereb ffiI'm under penalty of perjury that I am exempt from the Contractors License
Law f the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO 46.00so
CCU000A
NEW CONST. DWEWNG OCCUP. SO
DWE200ALLING
OR ADDNS. a C.S.3.5¢FT:
p,0" N ga,pT' MULTI.OUITSTLET @7,50
8 OUTLET OWER APPARATUCIRS .
zo p 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
DXED APPLNS. OR 5.00
Ex. Occup. ou'ETS RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Poli y Number
(T a above sections need not be completed if the permit is for work of a valuation
f one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith comply with th se provisions.
X Date I —I 1 - j
Signature of Applicant - U100rer ❑Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
���
TYPE TOTAL FEE $
HAZ
D IMP
FLOOD
CDF
PARCEL
PD
ND
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ova for which fees have been paid.
By Date
PERMIT EXPIRES ON �' s U
ate
Receipt No. (OOJ�c3 t0
WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT
Dec 17 02 11:38a
p.2
OWNER -BUILDER VERIFICATIQN
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to pEroq-yide the m ' abor and materials for construction of the proposed
property unpr ent :YES NO ❑
2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
- ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:_
SOCIAL SECURITY NUMBER: v
D TE: % � 0.3
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Dec 17 02 11:37a
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are
performing their own work. If your work is being performed by someone other than ourse personally1�
yourself from possible liability if that person applies for the proper permit in his or her name. . you may protect
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
-If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials *and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned,
'Sinarel ,
N ichadl C. Vieira, C.B.O.
Manager, Building Inspection'
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
Name 1HEYNNEMAN RICHARD W & T RACI E D
Addr1 1746 BRAN DONBURY LN
Addr2 I CHICO CA 95926
Addr3
Addr4
Comments 14261002700 CONVERTED 09/08/88
Creating D oc#1 1988R 0219400 Date
Current Doc# 12000ROO24231 D ate 6/29/2000
Killing Doc# I D ate
Asmt D esc 1746 B RAN D D N B U RY S uplCnt
Zoning JASR 00 D well I 1
Acres/S g Ft 10.19 .�j N }C 042
Asmt # 042-610-027-000 Fee # 1042-610-027-000
Status ACTIVE Status Date
Tax 000 INORMALOWNERSHIP TRA 062-118
Situs 1746 B RAN D D N B U RY LN CH I Ca
Base D k 16/29/2000
Timber Preserve
AgPres
E tal
N otes
j! B onds
multi Situs
Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Land
S tructure
Fixtures
G roving
Total L&I
Fix. R F
MH PP
PP
Exempt
57,222
124,848
0
0
182,070
0
0
0
7,000
Net 1 175,070
R!C#j
T!R Dtj
R!C Stakj
PHY I OWN I EXP I TAX I H R N I ATT I SIT I ,SPR. I RCL
M
Find
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PMI O.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-61-0-027
ZONING
BUILDING PERMIT
OWNER
GREG JOYNER
TELEPHONE
894-1156
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAIUNG ADDRESS
746 BRANDONBURY LANE CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSENO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING
TT BRANDONBURY LANE, CHICO
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF X3 Duplex ❑ Mobilehome ❑ Other AYPXTON ADDITION
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ENCLOSING PATIO (16 X 19=304 SQ. FT.
Gaspiping-system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
(
3.5QF0
NEW CONST. MULACTCounST
=RESID.CIRCUITS@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
BAL @ 1.50
Ex. Occup. OUT FIXElETS AEESID.OERA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
w/ork ' compensation provisions of section 3700 of the Labor Code, I shall
fo ith mply with those provisions.
X e Date � ! J2 47 C}OG
Signature of APII t - w er ❑Contractor ❑ Agent
An OSHA permit i squired f cavations over 60" deep and demolition or construction
of structures over 3 stories in eight.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
HAZ.
p. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Coun,4y Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
NO APPLICATION AND PERMIT Da -/3/19
ssoRPARCEL NUMeot
�.
FDIE0 APPUS. OR
Ex. Occup. OUTLETS EstO. EA 5.00
soN.►w s�
BUILDING PERMIT
Misc. Wiring 23.00 Q
a
PERMIT FEE
TELt.NONc
SO. FT. OCC. BUILDING VALUATION
Cooling
Hood 6.50
Ventilation
PERMIT FEt f
Mobile Home Installation Fee $
Energy Inspection Fee t
°C
CO1GT''Y°E TOT L FEES
'aAttToa't Nw+E / `+�
/�
`�' /!/,
TCIE►gONE
PMC
PO
ND
ISSUE
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date +-
PERMIT EXPIRES ON
�aACTdlI MLttINO ADDRESS
5 TnvcMm LENDER
Fireplace
)EPS MNlwo ADDRESS
Total Valuation =
4TECT OR ENOUEEA
LICENSE NO.
Filing Fee
$
20..00
Permit Fee
$
, (/
.MCT OR ENONEER7 MAJUNG ADDRESS
Plan Checking Fee
$
,
.fWADDRESS
/J f�
Energy Plan Checking Fee
$
E
PERMIT FEE
_
' , OO
r,D,
SLIBDN610NSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
Ench rap
7.00
USEOFSTRUCTURE
A�1
O Duplex O Mobilehome O Otherr/!
�! .
SPEC`~
Solar or ��.Rump water heater
23.00
Water piping15.00
Each gas water heater
15.00
w O Addition O Remodel O
/
tscribe Work: 3����d
T.�,J
TYPE OF WORK
Utilities ❑ Installation
,vC�
(3 Other O
Gas piping system 1 - 5 outlets
00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE !
ELECTRICAL PERMIT
Filing Fee
20.00
Main Service :°O,o'vA DDa LLSS
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. O�vEi1N0 OCCUP. 3.5¢so
OR ADONs. ( a wcc..Sf.
. ••��*4nUTIFT N 6;)7 cn
' POWER APPARATUS --
A SNOLE 06TLCT p0.
Ex. Occup. ovr ET OR FmTvREs 20 BAL .50 a x.Do
FDIE0 APPUS. OR
Ex. Occup. OUTLETS EstO. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 Q
PERMIT FEE
MECHANICAL PERMIT Fling Fee. 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt f
Mobile Home Installation Fee $
Energy Inspection Fee t
°C
CO1GT''Y°E TOT L FEES
HAL
1 0, FEES W►
FLWD
I COF
PMC
PO
ND
ISSUE
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date +-
PERMIT EXPIRES ON
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLEgA 95%5
GRICULTURAL STATEMENT OF ACI
FOR RESIDENTIAL DEVEL(l
Section 26-8 of the Butte County ed this acknowledgment to be r
property described herein is adjacent land or included within an area z
property may be subject to inconvenien or discomfort from the use of
herbicides, pesticides, and fertilizers; and m the pursuit of agricultur
plowing, spraying, pruning, and harvesting which ionally generate si
agricultural purposes and residents within said zo s and on adjacent p pc
or discomfort from normal, necessary farm operatio
All that real property situate in the County of Butte, to of C
Date
State of California
County of
On
before me,
OWNERS:
.co ded prior to issuance of a building permit. The
for agricultural purposes, and residents of this
gricultural chemicals, including, but not limited to
operations including, but not limited to cultivation,
coke, noise, and odor. � Butte County has established
-ty should be prepared to accept such inconvenience
described as follows:
1
personally appeare Personally
(mown to me (or p ved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are su�bsc bed to the within
instrument an acknowledged to me that he/she/they executed the same in his/her/their authorized capacit ies), and that by
his/her/thei signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
my hand and official seal.
A.P. 4
Seal:
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
.4—
OWNER: ASSESSOR PARCEL NUMBER:
D
Proposed Building Use: D Building Inspector: Date:
At time of permit application, I was advis o the following data must be submitted prior to permit processing and/or issuance:
Date Received ! By
111. All iiems have been submitted.----------
. Plot plans, 3/4 sets, signed by the preps
Complete plans, 3/4 sets, signed by the
04. Engineered plans, 3/4 sets, with wet siI
of plans. ------
parer of plans.
on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
Energy Design Compliance and supporting documentation. ---------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------
❑ 8. Hazardous Material Form.
Manufactured Home data and installation instructions including Tie Down Specifications.
0. Fees of $ -------------------------------------------------------------------
11. Impact fees as shown on the attached schedule.-----------------------------------------------
1112.
----------------------------------------------
❑12. California Department of Forestry plan approval/fees.---------------------------------------
-❑ 13. Flood elevation certificate. ---------------------------------------------
TOT5City
. Sanitation and plot plan approval Health Department.
of Chico plumbing permit. --------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
1117.
--
❑17. Planning approval for (A) Use: (B) Parking: _
Ell 8. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----
020. Pre -inspection for
required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
1122. Workers' Compensation carrier and policy number. -----------------------
E123. Owner-Budder
--------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). -
E124. Letter of signature authorization. --------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------
❑26. Letter of intent on building use. ----------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------
❑28. Existing violations and/or expired permits. ---------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
E130. Other:
(Date)
When you issu the ermit, pro ss as follows O Mail to owner, ❑ it t contractor.
❑Telephone' ��� and hold for pickup at ���� Qf4ce. ❑ Deliver with inspector.
Applican . Date:.
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio D&-_/
By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: '7 Y _ ' I ( :y X han Check List
2. Additional items required: I
Contractor, designer own as advised of the above required data by ❑ phone, P%mail, ❑ Building Division counter, byDate:
Contractor, designwwas advised of the above required data by %phone, 13mail, ❑ Building Division counter, by Date: 3-1-90!
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
_ Sets of plans on hold in ❑ Plan Cabinet,kA.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
June 28, 2000
Greg Joyner
746 Brandonbury Lane
Chico, CA. 95926
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 042-610-027
Building Permit Number: 00-1318
This office reviewed building plans for the permit application referenced above. The plan
examiner's comments are listed in PART - I below. Please respond in writing to each comment
in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM.-
Indicate
ORM.Indicate which detail, specification, or calculation shows the requested information. Additional
response information is included on the response form. Your complete and clear response will
expedite the re -check and approval of this project.
PART — I
Provide additional information and/or make revisions to plans, specifications and calculations as
follows:
1. 10% of natural light and 5% of ventilation is required for all habitable rooms within a
dwelling unit (Uniform Building Code section 1203). Provide verification that the existing
rooms adjacent to the enclosure will comply with this requirement.
2. Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet.
The minimum net clear openable height dimension shall be 24". The minimum net clear
openable width dimension shall be 20". When windows are provided as a means of escape or
rescue, they shall have a finished sill height not more than 44" above the floor (Uniform
Building Code section 310.4). Egress will be obstructed with the enclosure of the existing
patio.
3. A perimeter foundation will be required at the exterior walls of the room created by the
enclosure of the existing patio.
4. Provide t/2"x 10" anchor bolts at 6' o.c. maximum and within 12" of all joints. Provide 2" x
2" x 3/16" steel plate washer at each bolt. (Sec. 1806.6, U.B.C.)
5. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line.
Braced wall panels must be in line or offset from each other by not more than 4 feet
(Uniform Building Code section 2320.11.3). Spacing shall not exceed 34 feet on center in
both the .longitudinal and transverse directions (Uniform Building Code section 2320.4.1.)
Braced wall lines must be continuous throughout the structure. A California licensed
architect or registered engineer must prepare a lateral analysis for the areas of the building
that do not comply with the Uniform Building Code. Please be sure to include on the
1 of 2
4
resubmittal the designer's "wet" stamp, signature, registration number and expiration date on
all sheets of plans depicting the designed elements and cover sheets of calculations.
6. Provide energy design compliance and supporting documentation.
7. Sanitation and plot plan approval is required from the Butte County Environmental Health,
Department.
8. Provide 3 Plot plans, signed by the person that prepared the plans. Plans and specifications
shall be drawn to scale upon substantial paper or cloth and shall be of sufficient clarity to
indicate the location, nature and extent of the work proposed and show in detail that it will
conform to the provisions of this code and all relevant'laws, ordinances, rules and
regulations. (Uniform Building Code section 106.3.3).
9. This project does not appear to be able to be possible, based upon the above mentioned items.
Plan review will continue upon receipt of the above items. Additional comments may be
generated from your response above where plan documents were incomplete, inconsistent, or
not adequate to depict code compliance.
10. Review of the building plans by the Butte County Building Division engineer has not been
completed at this time. Any additional comments from the engineer will be addresses in
separate correspondence.
PART - H
The items identified below must be submitted prior to permit issuance. These items were noted
at time of permit application on the PERMIT APPLICATION DATA SHEET.
1. Balance of Building Permit fees will be determined when the items in Part 1 have been
addressed.
2. Complete and return the Butte County School Impact fee certification form.
If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541
between the hours of 1:00 p.m. and 4:OO p.m., Monday through Friday. The attached checklist
must accompany corrected items.
Sincerely,
Glenn Gibbons
Plans Examiner
2 of 2
PERMIT NO. 553-87B,P E,
PERMIT EXPIRES -
..,OWNER WEBB BROTHERS
W
CONTR. bb Homes-
A -
ASSESSOR PARCEL t
LOCATION 746 Brandonbury Ln, lot 48, Chico
Address OFFICE COPY
Address
ddress
GAS
B Da
Meter B90___7z2_
Meter ByDate
Meter By
Temp. Power Pole
Called*PG&E
Temp. Elec. Service
•
Called PG&E
Temp. Gas Service
Called
JOB FINAL
Signati
W
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-275.1
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
ti; / —
O—//// / "
{ t / `i Pv f !t/ V e,
Inspector Date
X
V OK
0�'= Not OK
-�= Not Applicable RESIDENTIAL (Single and Duplex)
+. = Not Ready
Date
UND FLOOR Plans OK except N's _
Date FRAfW46
(Continued)
ing requirements-Setbacks-Eas ents
property Line Firewall & Openings
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3 ig., Garage: Soils -Steel- / /" Ftg. Depth
-59-
s--Width-Headroom-Rise-Run-Landing-Fire Protection
-'
- 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
_6C41
Ste
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
mwalIs, Main; Steel -Blockouts-Wrapped- b /
.52.ding-Nailing-Veneer
_
_ Ste_mwalls, Garage; Steel-Blockouts=Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
%A-W_.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
Wit IEW.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _
Glazing Area -Glass Protection -Skylights -Plastic
5_R
-6hem-%1a4s; Nailing Bolts
______9.
Gas -Pipe; Size -Anchors
_
10. Water Pipe; Test -Anchors -Regulator -Service Test
------_-_,_.
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date It, Card -BI Date
_
Card -BI
Date Card -BI Date
Card -BI
ate Card -BI Date
Card -BI
---
Card -BI
t2l Date/d/171t7 Card -BI Date
2_y�ate/� Card -BI Date
Date FI AL Plans) OK except q's
Date
P MBING (Pere', OK except N's
t. Steps -Door & Sidelight Protection -Landings
57
Smoke Detector
t
Card -BI
Card -BI
1r t.: en Access -Combustion Air
1 r Pipe: est & Anchors -Nail Protection
1 .V.: Test-Fttngs & Anchors -Nail Protection
1 S r Pan: Test, First Floor -Tub Access
1 . T Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
-
Date Card -Bl _ Date
Date Card -BI Date
I.7
58.
Fu ce; Vents -Clearance -Comb. Air -Connector -
Garage; Above Floor -Ducts -Meth. Protection
5
$edroom Exiting
G,.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
-63-&1aIPs`
& Rails
dace or stove; Clearances -Hearth
6 .
ec. Outlets at Wood Panel; Int. & Ext.
6
1. Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance
6
ec. Outlets & Receptacles at Kit. Counter
Date
EL AL Permit OK except N's
6
Garage Fire Door; Swing -Landing -Closer
ct in Garage -Damper
Gard B -I
Card B -I
2 xture &Transformer Clearance -Ins. Protection
21. ec. Receptacles Spacing -Lights & Switches at Doors
2 ze Boxes & No. of Conductors -Stapled
2 omex Installed Close to Edge of Studs & C.J.
24- up. Ground made up w/Mech. Fasteners -Bond Gas &Water
2 ppjance Circuits in Kitchen & C_onductor Size
2 Sybfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
In elated Neutral Yes 'No
28�toe-Rise r Conductors &Ground -Main Disconnect_ -----
2 uip. Clearances: Panels_ Motors-Mech. Equip. —_
3 Clothes Closet Light -Shower -Light - — _
- -- ------ ----
y"0
/ Date C_ard_BI_ Date _ J `-
Date Card -BI Date
6
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
lI arage; Above Floor -Meth. Protection
7
Pte- Elec. & Mech. Equip. Listed for Location
71•vElec.
Receptacles in Garage; (G.F.I.)-Ro x Protec.
72
at ion- Foam- Looked in Attic es
G Rails & Deck Construction -Post Caps
7
wl Hole Door -Drainage & Wood -Earth Clearance
Jerked under Floor ❑Yes
Following instld.: Drive ' Yes No; Walks es E] No;
ers ❑Yes o
7
S cCo; wn-Finish X 2. Z11 41Z
7
Fj 6�Unit; Disconnect -Cir ces- rkr. & Cond. Size -115V Outlet
7
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
ZF
ell; Disconnect, Electrical, Plumbing
_ 8cterior
6✓E�fte-V
Elec. Trim; G.F.I. Receptacle -Underground
ntilation throughout House
82eglass
Protection
Date
ME ANICAL (Permit) OK except q's
8Veorrections from Previous Inspections
G est -Meters Tagged; Gas -Electric
-� 5 a er & Sewer Connected -C/O to Grade -HD Appr al
Card -BI
Ca,d=Bl
Ducts. Insulation &Support -�-_ - - _ _
�ent Fan; Exhaust above Insulation
3S. p densate Drain & Overflow: Size _& Grade -
3V, urnace-Vent: Access -Comb. Air -Return Air Vent -_115_V outlet
31; Attic Access & Platform if Furnace in Attic
t
#1 Dae Card -81 Date
� ___ _... -Card-BI
Date Card -BI Date
86Energy
Compliance Certificate -Other Certificates
—
- --
-
Card-BI
Date Card -BI Date
Card -BI
d- -
late Card -BI Date
Date Card -BI Date
Date
FRA G(Plans) OK except N's
Com tents at Final:
/SjJtS: Proper Material & Anchors
31 W Studs -Nailing, Spacing & Bracing -Plates -Sound
38g Walls over Girders & Floor Nailing `-
39. I Stop in Walls (rat proof) _ -
40.�tops: Furred Ceilin s -Stairs -Chases -Tub
41 H er &Beam -Size & Bearing
42. es -Post Caps -Anchors -Connectors
a3. In . Joisl-Rfir. Ties- Purlin -Roof Brac.-Truss-Shlhnq.-Ring.
44 r lace Ties or Type A Flue -Fireplace Throat
4 Iti Access: Size & Romex Protection -Draft Slop -Ins. Baffles
drm. Windows or Exiling Doors -Sill Hgt. & Dimensions _ _
41. Garage Fire Protection Framing
-
-
_�
- -
--_— ----
-�
- --
- --
�-
(NOTE Anen(rymust be made each time youvisit jobsite)
J = OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
3. Sewer; Location—Test—Fall-C/0—Concrete
_
2. Footings; Size—Depth—Spacing—Connectors
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7, Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Owner: WEBB HOMES Permit No.
ENERGY CE -RT I F I C A T ION
lot 40 - Silvertree - Brandonburry Ce.
LOCATION - A.P. No.
a
DESCRIPTION OF INSULATION
ROOF: t�i ,;:.
Mate=i"al -Brand Name
Thickness (inches)Resistance : (R
EXTERIOR WALL
Material Fiberglass Brand Nape Certainteed
Value);__ "
Thickness (inclies) 321" Therm 1 es, tance(R Value) 1_ 3_
CEILING
Batt or .Blanket Type Rarrc �Brarddame_.�t-ra;ntAar�
Thickness(inches) 1n" C T;hctmial Resistance(R Value)g--An
yocse Fill TVDe T,,j Ca Po TTT_ ^^� BranC' F ame
Minimum ThicknesWnches) u ll v r" ;'r`..-oa► of Bz�s Wt. per bag lb.
Area covered(ft. ) Thermal Res-istance(R Value) )?_,in
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width'(inclies)
FOUNDATION WALL
Material _
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in confonnance with the State of California Energy Requirements.
SHASTA INSULATI 272941
I'1,`tl;/OWE• STATE CONTRACTOR'S LICENSE NO.
�TURE OF iST .I.A'f.. 1'L DATE
I hereby certify the above insulltiun and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by Che State of California.
FIRM NAME/Oti;M.R (Please print) STATE CON' i(ACTOR'S LIQC�ENSE NO.
S GNA OF GENERAL CONTRACTOR OWNER 40 DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE. POSTED WIT717N THE BUILDING.
January 1984
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - PERMIT NO.
7 County Center Drive - Oroville,� aliforgja 95965 - Telephone 916/534-4541 � `j
APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER
ZONING
ASR
"-
BUILDING PERMIT
OWNER L.
Webb BrotLheG
TELEPHONE
891-3351
SO.FT. OCC. BUILDING VALUATION
1769 R 70,760
ADDRESS
389C Connors Ct., Chico, CA 95926
484 M 6,7p76
CONTRACTOR'S NAME
Webb Homes
TELEPHONE
268 COV 2,600
CONTRACTOR'S MAILING ADDRESS
Fireplace i0 1,000
CONSTRUCTION LENDER
UNKNOWN
11
Total Valuation $ 81,216
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 379.00
NEW TECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15,00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
746 Brandonbury Ln.
Permit fee
$ 419.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 16.00
Chico
Solar or heat pump water heater
20.00
LOT NO.
4 Ig
SUBDIVISION NAME PARCEL MAP
qi1uPrtrPP TT 104-`jfft0
Water piping
5.00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.005.00
Building sewer
5.00 00
Mobile Home S G W
10.00ea
TYPE OF WORK
New Th Addition❑ Remodel[] Utilities[] Installation[] Other ❑
Describe work:_ Master #54-82 (Plan #227A) _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fo a and effect.
%1 E 4
License No. E r Classification
ElI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed cont
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OC u
OR ADDNS. ACC. BLDGS. y2¢SQft 56, 35
yj
NEW CONST R.U OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
/POWER APPARATUS 6
(SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 20050t
SALO 30
FIXED APPLNS.
EX. Occup. OUT ETS ((RESID.IREAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00ract-
Misc. byirin 9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
gj,-I'have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating Dual Pak
6.00
Cooling
6.00
Hood
3.00 3.00
Ventilation
permit Fee
$ 25.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot596.35
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa CountyGln on ence of the granting of this permit.
X -`' :13� $�
Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30,00
TOTAL PERMIT FEE $
OCCUP.
LQ ;k�J�7r7l
CONST.TYPE
D
'7T
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work i icated above for which
R CTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date0lyzx
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
<<tir fpr •..:,,t---..K.,...-,a.. .. .�•..H�... :c�, f. .n.. ...� ,, .. ..�„�.;,v,n•*.... .. �..r •.w .n--),it�1+iVYib�!'"•'ati K:,tie as..�a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIV SION
7 COUNTY CENTER DRIVE - OROVILLE 'CA'LI;�ORNIA 95965 - TELEPHONE: 916) 4-4541
•
PERMIT�APPLICATIONWDATA SHEET
Permit No. ----~”'
OWNER A. P. o. f
Proposed Building Use r Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and talcs, with wet signature on plans.
Cs with Energy Design Compliance Statement.
USD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
Letter of signature authorization. . . . . . .
0 Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B') Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . .
Pre-Inspec. request to (Date)
1 Pre -Inspection for Required- Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
_42K Driveway Permit.
20. Plot plan approval from city of
21.
22.
Whenyou issue the permit, process as follows: Mail to owner, Mail to contractor.
�Telephone�Q/ '��s and hold for pickup atmoffice, Deliver w/inspector.
Other
Applicant
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pr 'o o per 't issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone--Mai 1—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date .2 --is 42
- Hours: 10:00 a.m. - 3:00 p.m.
PLAN 227A
1769 SQ.FT.
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